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Capsule complication during cataract surgery: Retinal detachment after cataract surgery with capsule complication: Swedish Capsule Rupture Study Group report 4.

Journal article
Authors Gunnar Jakobsson
Per Montan
Madeleine Zetterberg
Ulf Stenevi
Anders Behndig
Mats Lundström
Published in Journal of cataract and refractive surgery
Volume 35
Issue 10
Pages 1699-705
ISSN 1873-4502
Publication year 2009
Published at Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
Pages 1699-705
Language en
Links dx.doi.org/10.1016/j.jcrs.2009.05.0...
Keywords Aged, Aged, 80 and over, Case-Control Studies, Cataract, complications, Eye Injuries, economics, etiology, surgery, Female, Humans, Incidence, Intraoperative Complications, Lens Capsule, Crystalline, injuries, Lens Diseases, economics, etiology, surgery, Lens Implantation, Intraocular, Male, Middle Aged, Phacoemulsification, adverse effects, statistics & numerical data, Registries, Retinal Detachment, etiology, Retrospective Studies, Risk Assessment, Sweden, Visual Acuity
Subject categories Ophthalmology

Abstract

PURPOSE: To study the incidence, characteristics, and results of retinal detachment (RD) after cataract surgery with a capsule complication. SETTING: Ten ophthalmic surgery departments in Sweden. METHODS: In this case-control study, data on cataract surgery cases with a capsule complication (study group) or with no complication (control group) in 2003 were extracted from the Swedish National Cataract Register. Patients with RD during a 3-year follow-up were identified. RESULTS: The study group comprised 324 patients and the control group, 331 patients. Retinal detachment occurred in 13 study group patients, for a 3-year incidence of 4.0%. In the control group, 1 patient (0.3%) had RD. Multivariate analysis showed an adjusted odds ratio (OR) of 14.8 for RD after capsule complication (95% confidence interval [CI], 1.9-114; P = .01). Subgroup analysis of the study group using a binary logistic regression model showed that male sex (OR, 8.5; 95% CI, 1.7-43.8; P = .001) and lens remnants in the vitreous (OR, 14.4; 95% CI 2.6-78.8; P = .002) were additional risk factors. Axial myopia was significantly associated with an increased risk as a single factor but not as a multiple factor. In general, the final visual outcome for RD after a capsule complication was poor; 3 eyes had a visual acuity of 0.50 or better. Eight eyes (62%) had a final visual acuity worse than 0.10 and 6 eyes, 0.02 or worse. CONCLUSIONS: The risk for RD after cataract surgery increased significantly when a capsule complication occurred, leading to poor final visual acuity in most cases.

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